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A left pectoral placed icd/pacemaker is unchanged with leads terminating in the right atrium, right ventricle and past the coronary sinus. There is no evidence of lead fracture. Orthopedic hardware is seen in the right humerus. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette is mildly enlarged. The pulmonary vasculature is normal. The hilar and mediastinal structures are unchanged.
adventitial lung sounds with a plan for surgery. rule out infiltrate.
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. Unchanged appearance of the spine on the lateral chest radiograph. No pneumonia, no pulmonary edema. No pleural effusions. Mild elevation of the right hemidiaphragm is demonstrated.
history: <unk>m with hypoglycemia
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There is increased aeration of the left lung. There are streaky bibasilar opacities. On the lateral there is evidence of increased opacity along the left major fissure. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with l effusion vs. pna. would like pa/lat to better characterize // eval for effusion
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Frontal and lateral views of the chest. As on prior, there is dense consolidation at the left lung base obscuring hemidiaphragm. This may be due to a combination of consolidation, atelectasis and effusion. Hiatal hernia suspected. The right lung remains clear. <num> separate right subclavian lines are identified with the larger catheter seen with tip terminating in the right atrium. The smaller catheter tip is not clearly delineated on the current exam. Degenerative changes in the spine without acute abnormality.
<unk>-year-old female with chest pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with <num> pack year history, recent episode of hemoptysis
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with fever.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
dizziness.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. Bibasilar chronic interstitial changes are noted with an increased focal opacity in the right lower lobe concerning for infection. Small pleural effusions bilaterally. No pneumothorax. Mild hyperinflation. No displaced rib fracture identified. Known sclerotic metastases better assessed on prior cross-sectional imaging.
fever, on chemotherapy. evaluate for pneumonia
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. No fracture is identified.
motor vehicle collision.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
<unk>m with cough, s/p stem cell xplant // eval pneumonia
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The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Mild relative elevation of the right hemidiaphragm is unchanged. New streaky posterior basilar opacification, partly obscuring the posterior right hemidiaphragm is suggestive of minor atelectasis. Projecting over the right mid lung is a new irregular nodular focus, possibly a confluence of shadows but a developing pulmonary nodule should be excluded with further chest imaging when clinically appropriate.
syncope. history of well-controlled epilepsy.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with n/v in // eval for pna
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A right upper extremity picc terminates in the mid svc. Multifocal patchy airspace consolidations throughout the right lung are slightly improved from <unk>. Diffuse interstitial opacities have resolved. Trace bilateral pleural effusions are best appreciated on the lateral view and are similar. No pneumothorax. Heart size and mediastinal contours are normal.
picc placement
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Some degenerative changes are seen along the spine.
history: <unk>m with cp // pna?
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Right lung base linear opacities and blunting of the right costophrenic angle are chronic and unchanged. The lungs are slightly hyperinflated, similar to prior. The lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.
cough.
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Fiducial marker are in the left upper lobe mass. The site of prior rfa appears larger and may reflect post hemorrhagic or inflammatory changes measuring <num> cm previously <num> cm. No focal consolidation to suggest pneumonia. No pleural effusions or pneumothorax. Heart size is normal. Lungs are hyperinflated. Previously seen subcutaneous air in the left chest wall has resolved.
<unk> year old man with copd cough // interval change/ r/o pneumonia
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old woman with productive cough
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Pa and lateral views of the chest were reviewed and compared to the prior studies. A right upper lobe opacity has increased since <unk>. Opacification in the right middle lobe and lingula is new since <unk> and concerning for multifocal infection. There is no pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. A left upper lung nodular opacity was characterized as a granuloma on the prior ct chest.
further evaluation of a lung opacity.
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Anterior right fifth rib fracture healed without <unk>, largely unchanged from prior. The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax.
<unk> year old woman with breast ca, bladder ca, cough x<num>wk, worsening productive of sputum // eval for infiltrates, effusion eval for infiltrates, effusion
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A chest tube projects in apical hemithorax. Very tiny line less than <num> mm is seen on the axillary portion of right lung that could represent a very small stable pneumothorax or sparing of subpleural lung. Bilateral opacities, most predominant in the right lung are unchanged. The mediastinal and cardiac contours are stable. There is no significant pleural effusion. Right subcutaneous air is unchanged.
patient with right wedge biopsy, rule out pneumothorax. chest tube clamped for four hours.
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Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation. Pulmonary vasculature is within normal limits. Vertebral body heights appear maintained. There is no non-displaced fracture. Please note that assessment for cervical fractures is limited as these vertebral bodies were not captured on this study.
strangulation injury.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear despite slightly low volumes. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with intoxication now presenting with diffuse crackles on physical exam.
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Heart size is top normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities detected.
history: <unk>m with palpitaitons
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Streaky posterior basilar opacities may localize to the left lower lobe and suggest minor atelectasis.
altered mental status.
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There is no consolidation, effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. No subdiaphragmatic free air.
history: <unk>f with assault, pain in r forehead, r lateral orbit, c-spine, focal tenderness to t<num>/l<num> // eval for acute process, intracranial bleed, facial fracture, rib fracture, spinal fracture
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Pa and lateral views of the chest. Slightly lower lung volumes seen on the current exam. The lungs however remain clear. There is no consolidation or effusion. The cardiomediastinal silhouette is unchanged given differences in technique. No acute osseous abnormalities detected.
<unk>-year-old female with dyspnea and fevers. history of multiple myeloma and chemotherapy.
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The heart size is normal. The hilar and mediastinal contours are normal. No pleural effusions are identified. There is no evidence of pneumothorax. No focal consolidations concerning for infection are identified.
history of chest pain, please evaluate for pneumonia.
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Differences in cardiomediastinal silhouette likely related to ap position. There is left basilar atelectasis. There is no focal consolidations suspicious for pneumonia. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with weakness, confusion, history of seizures, evaluate for pneumonia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with neck mass // any masses or abnormalities
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Left upper lobe, perihilar opacity is most worrisome for left upper lobe pneumonia. No pleural effusion or pneumothorax is seen. Mediastinal contours are unremarkable. Cardiac size is normal.
history: <unk>m with viral illness now blood tinged sputum // ?cpd
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In comparison to the chest radiographs obtained approximately <num> weeks prior, small left apical pneumothorax has resolved. Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural effusion. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk> year old woman s/p l vats blebectomy, pleurodesis // check interval change
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The left pectoral single lead pacemaker projects in unchanged position with the lead projecting over the right ventricle. There is no pleural effusion. There is no focal consolidation or pneumothorax. There is no pulmonary edema. Subsegmental atelectasis in the right upper lobe is slightly more prominent.
<unk>f with aicd, pancreatitis, evaluate defibrillator, and evaluate for pleural effusion.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Clips from prior cholecystectomy are demonstrated in the right upper quadrant of the abdomen.
<unk>f with intermittent left hand tingling and a mild headache, with ekg changes. please eval for any cardiopulmonary change
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A left-sided pacemaker defibrillator is seen with multiple leads in appropriate position. The patient is status post median sternotomy. The heart is normal in size. Cardiomediastinal silhouette and hilar contours are within normal limits. Subtle opacities at the right base are most consistent with atelectasis. There is no large pleural effusion or pneumothorax identified.
<unk>m with hx of chf, with feneralized weakness // eval pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with dizziness
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Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is present. Anterior compression deformity at the thoracolumbar junction is unchanged compared to the previous ct.
history: <unk>f with chest pain
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Bronchial wall thickening at the right lung base. There are no focal consolidations, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old female with chest pain, shortness of breath
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Extensive degenerative changes are noted throughout the thoracic spine with large osteophyte formation.
history: <unk>m with fevers, cough
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.
shortness of breath.
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The lungs are clear and well expanded. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable.
hypoglycemia, evaluate for pneumonia.
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The lateral radiograph shows mild-to-moderate bilateral pleural effusions. The effusions are better seen on the lateral than on the frontal image. Minimal fluid overload. No overt pulmonary edema. No other cardiac or hilar or parenchymal abnormalities.
new liver transplant evaluation. assessment for pleural effusion.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain and shortness of breath.
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Lung volumes are low with mild accentuation of the cardiac silhouette. Heart size is top-normal. Thoracic aorta is tortuous. Hilar contours are unremarkable. Lungs are grossly clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pain and dyspnea.
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Right chest wall dual lead pacing device is unchanged and prosthetic valve is again noted. Median sternotomy wires are intact. Cardiac enlargement is similar compared to prior given differences in technique. There is no consolidation, effusion, or edema. No acute osseous abnormalities. Surgical clips in the upper abdomen are seen on the lateral view.
<unk>f with weakness // eval for pna
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Compared with the prior radiograph, no change in the positioning of the left-sided aicd leads, projecting to the right atrium and right ventricle. Mild cardiomegaly is unchanged. No new focal consolidation, pleural effusion, or pneumothorax.
<unk>m with palpitations. evaluate for acute intrathoracic process.
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The right chest tube is no longer visualized. Large right pleural effusion with associated compressive atelectasis at the right base has increased in size compared to the prior study. There is no mediastinal shift. The lungs are clear. There is no pneumothorax.
<unk> year old man with pleural effusion // eval
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The heart is not enlarged. Increased lung volumes, flattening of the hemidiaphragms and coarsened bronchovascular markings in keeping with history of copd. Nodular opacity in the right upper lobe. No pneumonia. No pulmonary edema.
<unk> year old man with copd here with wheeze and dyspnea on exertion // evidence of pna
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Right chest wall port is again noted with the catheter tip in the right atrium. Aside from minor scarring, including apical calcifications, the lungs are clear with no consolidation. There is no pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified. Mild vertebral compression din the mid thoracic spine is again noted.
chest pain.
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Frontal and lateral views of the chest demonstrate no consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal.
chest pain and shortness of breath.
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Pa and lateral views of the chest provided. Lung volumes are somewhat low limiting assessment. There is a large retrocardiac opacity containing an air-fluid level consistent with large hiatal hernia. Coarsened interstitial markings which are more pronounced along the periphery of the lungs likely reflecting interstitial lung disease. No large effusion or pneumothorax. Heart size appears grossly within normal limits the difficult to assess given large hiatal hernia. Mediastinal contour appears normal. The imaged bony structures are intact. Surgical anchors are seen imbedded in the left humeral head.
<unk>f with r lower rib bruising s/p fall, unknown headstrike // bleed or fx?
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Pa and lateral chest views were obtained with patient upright position. Analysis is performed in direct comparison with the next preceding chest examination of <unk>. Significant interval change has occurred in as much as the patient now has a permanent pacer in left anterior axillary position connected to two intracavitary electrodes terminating in right atrial appendage and right ventricular apical position correspondingly. The heart size is probably unchanged; however, significant amount of pleural densities on the left base obscures the cardiac border. There is also evidence of right-sided pleural effusion, albeit to a lesser degree. In comparison with the previous chest examination of <unk>, there are now also some right-sided basal parenchymal densities which cannot be assessed in detail. There is no evidence of pneumothorax in the apical area and the right upper lobe area is completely unchanged in comparison with our previous study. Thus, we have no explanation for the suspected right upper lobe pneumonia diagnosed at an outside hospital. Depending on patient's clinical findings, evaluation of the suspected pulmonary abnormalities could benefit from a chest ct.
<unk>-year-old male patient with questionable right upper lobe opacity on chest examination performed at outside hospital. questionable pneumonia.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. A nodule projecting over the right lower lung is probably a nipple shadow.
recent exacerbation of chronic cough and pancytopenia.
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The cardiac, mediastinal and hilar contours appear stable. There is unchanged cardiomegaly and enlargement of the main pulmonary artery contour. The lungs appear clear. There are no pleural effusions or pneumothorax.
tachycardia.
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Post surgical changes are noted in the lower right lung, and there is a new basilar opacity in the postoperative right lung concerning for pneumonia. Atelectasis has recurred within the lingula. There is no pleural effusions or pneumothorax. The heart size is normal.
<unk>m with shortness of breath and wheezing. // r/o pneumonia/chf
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Lung volumes remain low. Heart size is normal. The mediastinal contours are within normal limits. Crowding of bronchovascular structures is present without overt edema. Patchy left perihilar and bibasilar opacities may reflect atelectasis, but infection is not excluded in the correct clinical setting. No pneumothorax or pleural effusion is present. No displaced fractures are identified. Calcification within the left neck correlates to a calcified nodule in the thyroid gland on ct of the cervical spine.
history: <unk>f with recent fall, chest wall tenderness
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Cardiac silhouette size is normal. The aortic knob demonstrates mild atherosclerotic calcifications. Mediastinal and hilar contours are otherwise unchanged, with prominence of the right paratracheal stripe possibly reflecting tortuous vessels. Pulmonary vascularity is normal and the hilar contours are unremarkable. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are visualized. Multiple clips are re- demonstrated within the right lower neck, likely reflective of prior thyroid surgery.
lightheadedness and chest pain.
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The lung volumes are low. Lower lung opacities have resolved. The lungs appear clear. The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Nonspecific air-fluid levels are noted within bowel of the epigastric region. The osseous structures are unremarkable.
epigastric pain and low-grade fever. question pneumonia.
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Lung volumes are similar when compared to the prior study. The trachea is central. The cardiomediastinal contour is unchanged. The previously demonstrated moderate right pleural effusion has decreased, there is however small residual pleural effusion. No left-sided pleural effusion seen. No lobar consolidation or pneumothorax seen. No free air seen under the diaphragm.
history: <unk>m with liver disease, abd pain, dyspnea // r/o chf, portal vein thrombosis
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
cough.
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Ap and lateral upright chest radiograph demonstrates a ventriculoperitoneal shunt which traverses the subcutaneous tissues of the right neck and projects over the right upper thorax. Its tip is not clearly visualized. This shunt appears new since prior radiograph dated <unk>. Lungs are clear with no focal opacity identified. There is no pleural effusion or pneumothorax identified. The cardiomediastinal and hilar contours are within normal limits. Visualized osseous structures are without abnormality.
<unk>-year-old male with likely delirium.
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Frontal and lateral views of the chest. There is elevation of the right hemidiaphragm. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is difficult to assess given the elevated right hemidiaphragm which obscures the heart border. No acute osseous abnormalities detected. Surgical clips project over the neck on the right.
<unk>-year-old female with shortness of breath and hypoxia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Streaky opacity is present at the left lung base which tethers the hemidiaphragm upward somewhat suggesting minor atelectasis. Elsewhere, the lungs appear clear. There is no pleural effusion or pneumothorax.
chest pain.
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The heart size is top normal. There is no displaced rib fracture. There are nonspecific this of interstitial lung disease and bilateral bases, likely not progressed from the prior ct of the chest dated <unk>. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<num> abn clinical finding nec low rib cage pain, r/o body/chest etiology
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Pa and lateral views of the chest. The lungs are clear without effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old female with intermittent right shoulder and pectoral pain.
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Lung volumes are very low with vascular crowding. There is no definite focal airspace opacity. The lateral radiograph is degraded by motion artifact. There is no pleural effusion or pneumothorax. Heart size is top normal. There are granulomatous calcifications in the left hilum. The aortic arch is calcified. There are severe degenerative changes in both shoulders with apparent inferior subluxation of the right shoulder.
history: <unk>f with htn presenting with dyspnea and heart burn // eval for cardiopulmonary process
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The chest is hyperinflated. There is a new opacity projecting over the mid spine on the lateral view, somewhat oval and mass-like, and it may correlate with very vague superior opacity in the right suprahilar region. There is slight rightward convex curvature centered along the lower thoracic spine.
fever. question infiltrate.
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Pa and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with fever and cough.
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There is an ill-defined hazy opacity at the left base, which is not visualized on the lateral. There is also a streaky linear opacity with an associated round opacity at the right base. No dense airspace consolidation is identified. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
uri symptoms and dyspnea.
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Pa and lateral views of the chest were provided. Lung volumes are low with chronic interstitial opacity likely reflective of chronic interstitial lung disease with evidence of mild interval progression. Correlation with high-resolution chest ct may be helpful to further assess. The possibility of a superimposed atypical pneumonia is impossible to exclude given the underlying interstitial opacities. No large effusion or pneumothorax is seen. The heart and mediastinal contour appear overall stable. The bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>-year-old female with shortness of breath.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough and fevers.
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Pa and lateral views of the chest demonstrate low lung volumes. No pleural effusion, focal consolidation, or pneumothorax is present. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Right lung base opacity likely represents atelectasis. Partially imaged upper abdomen is unremarkable.
atrial fibrillation.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. A vp shunt catheter is seen coursing along the right lateral neck, right anterior chest wall, and into the right upper quadrant of the abdomen.
headache.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No rib fractures identified. Surgical anchors noted overlying the right shoulder.
<unk>f with chest wall tendernress // ?rib fx
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Cardiac size is top-normal. Widening mediastinum has markedly improved. Vascular congestion has almost completely resolved. Small to moderate bilateral effusions are associated with adjacent atelectasis. There is no evident pneumothorax. Patient is status post cabg. Sternal wires are
<unk> year old man s/p cabg // eval for effusion
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Specifically, no evidence of interstitial prominence to radiographically suggest methotrexate toxicity.
inflammatory arthritis, on methotrexate, to assess for toxicity.
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Right-sided port-a-cath tip terminates in the proximal right atrium, unchanged. The patient is status post median sternotomy and cabg. Heart size is normal. Curvilinear calcification is again seen corresponding to known left ventricular apical infarct. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is visualized. Sclerotic focus along the right seventh lateral rib is again noted.
history: <unk>m with dizziness
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Pa and lateral chest radiographs were obtained. Cardiomediastinal silhouette is unchanged compared to the prior study. Previosuly seen opacity in the left lower lobe is improved; however, there are persistent areas of opacification within the right mid and lower lobes, likely from atelectasis. No significant pleural effusions and no pneumothorax. Clips are again noted over the mediastinum.
<unk>-year-old man with left vats, left lower lobe wedge, check interval changes.
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Cardiac silhouette size appears top normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Patchy opacity within the left lung base may reflect an area of developing infection. Minimal atelectasis is also noted in the right lung base. No pneumothorax or pleural effusion is present. There are no acute osseous abnormalities.
history: <unk>m with abdominal pain and elevated wbc.
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The patient is status post median sternotomy, cabg, and stenting of the coronary arteries. Heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. Moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with palpitations
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with chest tightness and palpitations.
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In comparison with the study of <unk>, the patient has taken a much poorer inspiration, which most likely accounts for the increased prominence of the transverse diameter of the heart. There are atelectatic changes at the bases, especially on the left with blunting of the costophrenic angle, though this appears to reflect pleural thickening rather than effusion on the lateral view. No evidence of acute focal pneumonia or vascular congestion. Of incidental note is residual contrast material in the colon, related to a recent ct scan.
possible pneumonia or pleural effusion.
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There is improved aeration and resolution of the previously noted right middle lobe pneumonia. Lung volumes are low, though no focal consolidation, pleural effusion or pneumothorax is seen. There is no pulmonary edema. The heart is normal in size given the low lung volumes.
<unk>-year-old female with persistent cough and recent history of right middle lobe pneumonia. evaluate for persistent right middle lobe pneumonia.
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A dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively, appears unchanged. The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged. A diffuse mild-to-moderate interstitial abnormality appears more prominent than on the prior examination. There may be trace pleural effusions. Fissures are slightly thickened. The bones are probably demineralized.
shortness of breath and hypoxia.
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There is no focal consolidation, effusion, or pneumothorax. Tortuous, calcified aorta is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old woman with h/o breast cancer, ra on immunosuppression, here with hypotension, cough and leukocytosis. // pneumonia?
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The heart is borderline in size. There is moderate unfolding and calcification along the thoracic aorta. Streaky retrocardiac opacities, probably refering to the left lower lobe, obscure the contour of the left hemidiaphragm. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax. Small anterior osteophytes are present throughout the thoracic spine.
atrial fibrillation.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chills, <unk> days chest pain referring to shoulder, dyspnea // eval ? infection, cardiomegaly, mediastinal abnormalities
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Surgical chain sutures with associated linear opacities are seen at the left lung base. There is no focal consolidation or effusion. Cardiomediastinal silhouette is stable. Abnormal soft tissue in the right paratracheal region with leftward deviation of the trachea was better characterized by recent ct scan. Increased soft tissue in the subcarinal region was also previously characterized by ct. No acute osseous abnormalities. High density material in the colon is likely from prior enteric contrast administration.
<unk>f with sob // ?pneumonia
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Assessment is limited by lordotic positioning and the patient's inability to raise her left arm. Heart size is top-normal, unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities visualized.
<unk> year old woman with confusion
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Large hiatal hernia is re- demonstrated with associated bibasilar atelectasis. Trace left pleural effusion is likely present. Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. There is no pulmonary edema, new focal consolidation, or pneumothorax. No acute osseous abnormalities detected. No subdiaphragmatic free air is present.
history: <unk>f with diffuse abdominal pain // surgical abdomen? hiatal hernia evaluation
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Pa and lateral views of the chest provided. Heart is mildly enlarged. The aorta is unfolded. There is minimal central pulmonary vascular congestion without frank edema. No effusion is seen. No pneumothorax. No convincing evidence for pneumonia. Degenerative disease at the right shoulder noted. No free air below the right hemidiaphragm.
<unk>f with months of intermittent dyspnea and chest pain, elevated jvd and peripheral edema on exam
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with sob and cp s/p stents,, // r/o chf
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The lungs are hyperinflated and the diaphragms are flattened, consistent with copd. There is moderate to moderately severe cardiomegaly, with a calcified unfolded aorta. There is upper zone redistribution, without other evidence of chf. No frank consolidation or gross effusion is detected. Atelectasis in the lower lobe posteriorly is similar to the prior film. Possible minimal blunting of the costophrenic angles posteriorly, unchanged. The bones appear markedly demineralized. Surgical clips noted in the upper abdomen.
history: <unk>f with dizziness // head ct- ? sdh cxr- ? pna
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Bilateral heterogeneous lower lobe opacities are seen. No additional focal opacities. Pleural surfaces are clear without pleural effusion or pneumothorax. Heart size is mildly enlarged and likely related to poor inspiratory effort. Mediastinal contour and hila are normal.
hemoptysis, cough, fever. assess for pneumonia.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Multiple well-circumscribed radiodensities likely represent overlap of structures and vessels viewed on-end.
<unk>f with cough, evaluate for pneumonia.
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
cough and fever.
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The heart is mildly enlarged. The pulmonary artery contour is mildly prominent. In addition to upper zone redistribution of pulmonary vessels, there is a mild interstitial abnormality suggesting slight pulmonary vascular congestion or fluid overload. Small pleural effusions are suspected in addition to minor basilar atelectasis and thickening of fissures. The bones appear demineralized.
weight loss.
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Nodular opacities projecting over the lungs bilaterally are most compatible with nipple shadows. Lungs are otherwise clear without consolidation, effusion, pneumothorax or edema. The cardiomediastinal silhouette is normal. There is a small hiatal hernia. No acute osseous abnormalities identified.
<unk>m with chest pain // r/o acute process
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Compared with <unk>, atelectasis in the right cardiophrenic region has improved. Otherwise, i doubt significant interval change. As before, the aorta is calcified minimally unfolded. The heart is not enlarged. No chf, focal infiltrate, or effusion is identified. No pneumothorax is seen. The parenchymal changes identified on the <unk> chest ct (mosaic attenuation) are not appreciated radiographically.
<unk> year old woman with shortness of breath // assess for ild, infiltrate
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are moderate degenerative changes again noted in the thoracic spine.
fever.
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Ap upright and lateral chest radiographs were obtained. Lung volumes accentuate the central pulmonary vasculature. There is mild prominence of the upper lobe pulmonary vessels. Moderate cardiomegaly has significantly worsened since <unk>. There is no effusion or pneumothorax or consolidation.
hypertensive emergency.